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Surgical site infection prevention care bundles in colorectal surgery : a scoping review

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorCunha, T.
dc.contributor.authorMiguel, S.
dc.contributor.authorMaciel, J.
dc.contributor.authorZagalo, C.
dc.contributor.authorAlves, P.
dc.date.accessioned2026-05-26T13:48:39Z
dc.date.available2026-05-26T13:48:39Z
dc.date.issued2025-01
dc.description.abstractBackground: Surgical site infection (SSI) prevention bundles have been used to reduce infection rates in most types of surgery. Bundles tailored to colorectal surgery have been used with success. Aim: To identify and review the individual interventions that constitute each SSI prevention care bundle in colorectal surgery, and the reduction in SSI rate associated with their implementation. Methods: A scoping review was conducted in PubMed, CINAHL, Web of Science Core Collection and Scopus in December 2022. Results: This review analysed 48 of 164 identified studies on SSI prevention in colorectal surgery from 2011 to 2022. It revealed an average of 11 interventions per study, primarily in the pre-operative [mechanical bowel preparation, oral antibiotic bowel decontamination, hair removal, chlorhexidine gluconate (CHG) shower, normoglycaemia], intra-operative (antibiotic prophylaxis, normothermia, CHG skin preparation, antibiotic prophylaxis re-dosing, gown/glove change) and postoperative (normothermia, normoglycaemia, dressing removal, oxygen optimization, incision cleansing) periods. Despite these interventions, SSI rates remain high, indicating a need for further research to optimize intervention bundles and improve compliance across surgical stages. Conclusions: The implementation of SSI prevention bundles, tailored to colorectal surgery, has shown a reduction in SSI rates and costs. Grouping interventions according to the peri-operative phase may increase compliance.eng
dc.identifier.citationCunha, T., Miguel, S., Maciel, J., Zagalo, C., & Alves, P. (2025). Surgical site infection prevention care bundles in colorectal surgery: a scoping review. The Journal of hospital infection, 155, 221–230. https://doi.org/10.1016/j.jhin.2024.10.010
dc.identifier.doi10.1016/j.jhin.2024.10.010
dc.identifier.issn1532-2939
dc.identifier.urihttp://hdl.handle.net/10400.26/63321
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.relation.hasversionhttps://doi.org/10.1016/j.jhin.2024.10.010
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectSurgical site infections
dc.subjectPatient care bundles
dc.subjectColorectal surgery
dc.subjectScoping review
dc.titleSurgical site infection prevention care bundles in colorectal surgery : a scoping revieweng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.endPage230
oaire.citation.startPage221
oaire.citation.titleJournal of Hospital Infection
oaire.citation.volume155
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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